1039 SOUTH BIG BEND BLVD. | RICHMOND HEIGHTS, MO 63117 | 314-452-2392
New Client Form

If you are considering Lionheart Personal Training Studio for your Physical Fitness needs, please take a moment to fill out the Lionheart Health Assessment Form.

All information provided is completely confidential and is only used to provide you the best Training Program tailored to your individual needs.

  • Contact Information

  • General Health History

  • Cardiovascular/Circulatory History

  • Pulmonary History

  • Medications

  • Musculoskeletal History

  • Informed Consent

    I hereby agree to pay the below stated contract amount. Under the monthly training plan, the contract fees will renew every thirty (30) days from the start date of this program until canceled. I understand that I am purchasing sessions at a predetermined price. If there are extenuating circumstances that cause you to miss numerous sessions, please contact Lionheart at (314) 452-2392 to discuss a remedy. Clients canceling any appointments within 24 hours of a session will be charged the full price of the session. Clients using credit or debit card will be automatically deducted from a credit/debit account on or about their contract renewal date. Those choosing to pay with cash or check will be responsible for bringing their payment by their contact date. Failure to pay by contract date may result in a cancellation of services and/or late payment fees. The client is responsible for all late and collection fees. The intent to end services with Lionheart must be made at least five (5) days prior to rollover contract date in writing.

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